[Activity indicators for an anesthesiology department].
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Adult↗
Biomedical subjects
M Kobel
Publications and source records attributed to M Kobel.
The TUTOR, a software package for educational computing.
Computer Assisted Instruction (CAI) is an effective method of imparting factual knowledge relating to the practice of medicine. Unfortunately educational software remains scarse and expensive or lacks flexibility. This paper introduces a software package that permits continuing medical education and self assessment by Multiple Choice Question exercises. The questions are first written to a text file with an easy-to-use editor. The programs are written in BASIC and hardware prerequisite are a desk-top computer with 32K of CPU memory and a dual floppy disk drive.
Computer-Assisted Instruction↗
[Accumulation of carbon dioxide in the operative field in ophthalmic interventions under local anesthesia].
In eye surgery under local anaesthesia, a micro-climate develops under the operative field. Respiratory CO2 concentration, measured by an infrared capnograph, increases rapidly and becomes stable at a certain level. A three-dimensional relation has been established (CO2 concentration X weight of the patient X free space under the field). The effects of the accumulated CO2 are complex and partially depending on premedication. The air inhaled by the patient should be renewed by elimination of the excess CO2.
Aged↗
[Study on the prevention of deep venous thrombosis in surgery].
In a survey of the use of methods for prevention of postoperative deep venous thrombosis (DVT) performed in French speaking Switzerland, a questionnaire was sent to 380 surgeons and 316 answers (83%) were received. Systematic prevention is performed by 75% of the surgeons; it is performed by 89% of orthopedic surgeons, 66% of abdominal surgeons and 76% of obstetricians. Low dose heparin is use dy 75% of general and orthopedic surgeons and by 50% of the obstetricians. 40% of the surgeons believe that preventive methods cause untoward side effects. Only 55% of orthopedic surgeons believe in the effectiveness of the prevention they are using. Prevention of DVT is more systematically carried on in Switzerland than in other Western countries, especially in high risk surgery. However, surgeons are aware of the imperfection of this prevention.
Dextrans↗
Anaesthetic considerations in Down's syndrome: experience with 100 patients and a review of the literature.
Down's Syndrome (Trisomy 21, T21) occurs in approximately 0.15 per cent of live births. In addition to the stigmata of the syndrome, other congenital defects are frequently found in these patients. Cardiac lesions are particularly prominent. To determine the complications associated with anaesthesia and surgery we examined the records of 100 consecutive patients (58 males, 42 females) who underwent surgery with general anaesthesia during a two year period, from March 1978-March 1980. In addition to the cardiac lesions, the low birth weight of Trisomy 21 infants, increased susceptibility to infections, atlanto-occipital dislocation, and reduced central nervous system catecholamine levels might be expected to result in an increased incidence of complications. This study of 100 patients with Trisomy 21 (T21) indicates that the incidence of complications is low. However, the anaesthetist must understand the pathophysiology of T21 in order to provide optimal anaesthetic care.
Adolescent↗